ABSTRACT
Objective To evaluate the auxiliary diagnostic ability and applicability of ~(18)F-FDG PET/CT and the LungCare soft-ware of dual source CT in solitary pulmonary nodule(SPN). Methods 28 patients with SPN proved by pathologically were examined by ~(18)F-FDG PET/CT and LungCare software of dual source CT. ~(18)F-FDG PET/CT and LungCare software of dual source CT data were analysed comparatively in terms of the diagnostic accuracy in distinguishing malignant and benign. All data were analyzed for significance by using the χ~2-test,the value of P<0.05 was accepted as significance. Results There were 15 malignant and 9 benign nodules. In evaluating SPN,the diagnostic sensitivity, specificity, accuracy, positive predictive value and negative predictive value were 80.0% ,88.8% ,83.3%,92.3% and 72.7% with ~(18)F-FDG PET/aT respectively,and 93.3% ,77.7% ,87.5%,87.5% and 87.5% with LungCare software, respectively. To evaluate SPN,LungCare software and ~(18)F-FDO PET/CT was not significant difference in accuracy(P>0.05) ,while there were significant differences in sensitivity , specificity , positive and negative predictive value (P< 0.05). The sensitivity and negative predictive values with~(18)F-FDG PET/aT were much better than that with LungCare software, but the specificity and positive predictive values were less than that with LungCare software. Conclusion ~(18)F-FDG PET/CT has certain auxiliary function in distinguishing benign SPN from malignant SPN,it combining with LungCare software , the accuracy of diagnosis can be improved.
ABSTRACT
Objective: To determine the relation dynamic contrast-enhanced magnetic resonance imaging (MRI) and histologic features and angiogenesis of breast disease. Methods: Forty patients with breast disease, diagnosed by histopathology were reviewed, including imaging and pathological data. Dynamic MRI was performed by a fat-suppressed 3D-FSPGR sequence ,Time-Signal curve was acquired by Functool 2 software, then early-phase enhancement rate and E max , T max were acquired. The mean MVD and VEGF expression of the lesions were measured with immunohistology. Evaluation of inflammatory changes was assessed by histology. Results: The MVD , VEGF expression and inflammatory scores of malignant tumor were significantly higher than that of benign tumor(P0.05), The Time-SI curve between malignant and benign was significant different(P
ABSTRACT
Recent research has revealed important potentiality for MRI in the diagnosis of breast disorders. The review describes the imaging technique, the characterization and value of breast MRI for diseases detection ,and the differentiation of benign from malignant breast diseases. Applied breast MRI correctly enhances the diagnosis of diseases, especially, breast cancer, furthermore, it brings more information to the optimal treatment.
ABSTRACT
Objective To evaluate the auxiliary diagnostic ability and applicability of the Lung Care software of dualsource CT in the study of solitary pulmonary nodule(SPN). Methods 40 cases with SPN proved by pathologically were examined by dual-source CT. R-MPR and VOI of Lung Care software three-dimension rebuilding image were obtained to analyze imaging features of SPN and compared with routine chest CT. 20 cases had regular visits during 12 months which were divided into three stages to measure the growing speed or doubling time. Results There were 28 cases of malignant nodules and 12 cases of benign nodules in 40 cases of SPN. The accuracy for malignancy of routine chest CT and LungCare software three-dimension rebuilding are 53.57% ,82.14% respectively. The accuracy for benign nodules is 41.67%,83.33% respectively. Both are significant difference (P
ABSTRACT
This article is to review the basic principles of renal perfusion in CT and MR,imaging method and perfusion characteristics in kidney diseases.It shows that in addition to the morphologic information,perfusion imaging can also provide functional and metabolic information about the renal neoplasms,which is very helpful for not only the differential diagnosis,but also the evaluation of tumor biological behaviors,it will have a bright future in clinical application.
ABSTRACT
Objective: To evaluate the CT features of renal pseudotumors and the differential diagnosis with renal carcinomas and other benign tumors, emphasis on the origin of pseudotumors and the factors liable to be misdiagnosed.Methods:Unenhanced and enhanced spiral CT findings in 23 cases of renal mass were retrospectively evaluated.13 of them(inflammatory pseudotumor, 5 cases;Xanthogranulomatous pyelonephritis,2 cases;granulomatous inflammation,1 case;liparomphalus hyperplasia,1case;fibroangiolipoid hyperplasia,1 case;adenomyosis,1 case;and hematomas,2 cases) were resected and pathologically confirmed.The others\ were diagnosed by IA-DSA or followed up after the treatment.Results:Most inflammatory and hyperplasia diseases appeared as a solid or solid-cystic heterogeneous mass,with an ill-defined margin;Calcification or fat tissues sometimes could be seen.After intravenous administration of iodinated contrast media,the solid components enhanced mildly or moderately.Cystic components,infiltration of fatty renal capsule and thickening of renal fascia could be seen.Hematomas and aneurysms appeared as isoattenuation to hyperattenuation lesions,with a well-demarcated margin.Aneurysms demonstrated intense enhancement similar to the abdominal aorta.Acute hematomas could enhanced mildly.Conclusion:CT is helpful to the diagnosis and differential diagnosis of renal pseudotumors.